Wyoming County, NY

Criminal Court Application

1. Cover This section is complete This section is incomplete
2. Right to Counsel This section is complete This section is incomplete
3. Personal Information This section is complete This section is incomplete
4. Court Information This section is complete This section is incomplete
5. Charges This section is complete This section is incomplete
6. General Information This section is complete This section is incomplete
7. Family Court and Criminal Court Financial Form This section is complete This section is incomplete
8. Income Worksheet This section is complete This section is incomplete
9. Other Assets: MUST BE COMPLETED This section is complete This section is incomplete

Wyoming County Public Defender
18 Linwood Avenue
Warsaw, New York 14569
(585) 786-8450
Enclosed please find paperwork that you must complete to apply for the Wyoming County Public Defenders Office. Please return the paperwork, proof of your income, and a copy of your criminal charges, Family Court petition, or Violation of Support petition, whichever is applicable.
Contact the Public Defender's Office 3 days after submitting your application to make sure it was received.
Sincerely,

Public Defender Office
Wyoming County
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Wyoming County Public Defender
18 Linwood Avenue
Warsaw, New York 14569
(585) 786-8450
RIGHT TO COUNSEL
This is a reminder that, although an attorney was with you at your arraignment, you must take an additional step if you would like to have an attorney continue to represent you on this matter.
Before your next court date, YOU must either:
1) Apply to the Public Defender's Office, or
2) Hire private counsel

Please feel free to contact our office with any questions or concerns you may have about this matter.
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Wyoming County Public Defender
18 Linwood Avenue
Warsaw, New York 14569
(585) 786-8450
You must fill in all fields. If you do not know the answer or it does not apply to you, enter "I don't know", "None", or "N/A"
Name*
Address (Include P.O. Box and Apt. No.)*
Home Phone*
Cell Phone*
D.O.B.*
Gender*
Military Background*
Email Address*
Where were you born? (country)*
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You must fill in all fields. If you do not know the answer or it does not apply to you, enter "I don't know", "None", or "N/A"
Court*
Judge*
Bail $*
Represented by counsel at arraignment?*
1. Yes
2. No
Who Posted Bail*
Arraignment Judge*
Next Court Date*
Interviewed by Pretrial*
1. Yes
2. No
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Charges*
List ALL charges
Crime Date*
Arrest Date*
Names of other people involved in these charges (co-defendants, victims, eyewitnesses)*
Have you spoken to Law Enforcement? If so, to whom?*
Your version of events for this charge*
Prior Convictions*
Any other pending cases? (What court, what charges, and who represents you)*
Currently on probation/parole? (What county, charge, and supervising officer)*
Alcohol or drug usage*
Abuse/abuser or allegations*
Mental Health Diagnoses and/or treatment*
Prior counseling programs*
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